Individual
CAROLYN G. PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3601 4TH ST, SUITE 2A300, LUBBOCK, TX 79430-0002
(806) 743-5678
(806) 743-5670
Mailing address
3601 4TH ST, # 2A300, LUBBOCK, TX 79430-6073
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181350301
—
TX
01
—
80397A
HMO BLUE
TX
01
—
80401A
BC/BS
TX
Enumeration date
10/03/2006
Last updated
01/20/2022
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